MODERN DENTAL PROFESSIONALS CO PC (NPI# 1427439819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427439819 |
Entity Type | Organization |
Organization Name | MODERN DENTAL PROFESSIONALS CO PC |
Other Organization Name | BRIGHT NOW DENTAL THORNTON |
Practice Address |
951 E 120th Ave Unit D Thornton CO 80233-5719 |
Mailing Address |
Po Box 25153 Santa Ana CA 92799-5153 |
Practice Telephone | 3033054466 |
Practice Fax Number | 3039200861 |
Mailing Telephone | 7145786358 |
Mailing Fax Number | 9492422631 |
Enumeration Date | 2015-06-11 |
Last Update Date | 2015-06-11 |
Authorized Official Name | DR. CRAIG MELLOR (PC OWNER) |
Authorized Official Telephone | 3034423434 |
Authorized Official Credential | DDS |
Is Organization Subpart | Y |
Parent Organization Name | MODERN DENTAL PROFESSIONALS CO PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
105734 | CO | Dental Providers |
Other Name | Type Code |
---|---|
Bright Now Dental Thornton | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164803276 | Modern Dental Professionals Co PC | Dentist | 11183 S Parker Rd Unit C, Parker, CO 80134-4905 | 2015-06-15 |
1629459011 | Modern Dental Professionals Co PC | Dentist | 1955 Arapahoe St Ste A, Denver, CO 80202-1830 | 2015-06-11 |
1528449915 | Modern Dental Professionals Co PC | Dentist | 7611 W Colfax Ave Unit D, Lakewood, CO 80214-5424 | 2015-06-11 |
1437530821 | Modern Dental Professionals Co PC | Dentist | 15 Ken Pratt Blvd Ste 280, Longmont, CO 80501-8656 | 2015-06-11 |
1568843076 | Modern Dental Professionals Co PC | Dentist | 7985 Wadsworth Blvd Ste B, Arvada, CO 80003-2111 | 2015-06-11 |
1356722748 | Modern Dental Professionals Co PC | Dentist | 3531 S College Ave Unit 110, Fort Collins, CO 80525-2642 | 2015-06-11 |
1376924753 | Modern Dental Professionals Co PC | Dentist | 23963 E Prospect Ave Ste Hv2be, Aurora, CO 80016-5342 | 2015-06-11 |
1457732844 | Modern Dental Professionals Co PC | Dentist | 3865 E Cherry Creek North Dr Ste 200, Denver, CO 80209-3806 | 2015-06-11 |
1902287550 | Modern Dental Professionals Co PC | Dentist | 3551 S Tower Rd Unit C, Aurora, CO 80013-3564 | 2015-06-09 |
1619358009 | Modern Dental Professionals Co PC | Dentist | 3626 E Highlands Ranch Pkwy Unit 107, Highlands Ranch, CO 80126-7885 | 2015-06-11 |
Street Address |
951 E 120TH AVE UNIT D |
City | THORNTON |
State | CO |
Zip Code | 80233-5719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356909683 | Christopher Bockrath | Dentist | 951 E 120th Ave Unit D, Thornton, CO 80233-5719 | 2019-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
Find all providers in zip 80233 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396307484 | Armando Aaron Jauregui | Dentist | 2580 E 98th Ave, Thornton, CO 80229-2521 | 2019-06-28 |
1780184051 | Cks Dental Inc | Dentist | 10005 Grant St Unit D, Thornton, CO 80229-2033 | 2018-02-13 |
1093230328 | Cara Raeann Jones | Dentist | 8901 Grant St Apt 1816, Thornton, CO 80229-4440 | 2017-08-08 |
1235581141 | Ross Roggow | Dentist | 810 E 88th Ave Unit 140, Thornton, CO 80229-4747 | 2016-07-05 |
1356796841 | Thai Dental PC | Dentist | 810 E 88th Ave, Suite 150, Thornton, CO 80229-4747 | 2016-05-03 |
1902265382 | Colorado Dental Professionals, LLC | Dentist | 12889 Quebec Street, Thornton, CO 80602 | 2016-02-15 |
1093133787 | Lindsay Deanna Moore | Dentist | 12889 Quebec St, Thornton, CO 80602-9623 | 2014-03-31 |
1346667037 | Bruggeman Dental | Dentist | 2601 E 145th Ct, Thornton, CO 80602-7339 | 2014-03-19 |
1487925129 | Modern Dental Professionals Co,pc | Dentist | 951 E 120th Ave, Unit D, Thornton, CO 80233-5718 | 2012-01-25 |
1881908630 | Erin M Deedy-lee | Dentist | 10260 Washington St, Unit 1321, Thornton, CO 80229-2053 | 2010-08-04 |
Find all providers in THORNTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.